SEMESTER Course: PTA.240 Clinic II ([syn #]) Meeting Days, Times, Location: [Day, time, location] Course Start/End Dates: [Start and end dates] Credit Hours: 12 Contact Hours: 560 hours over two, seven-week clinical education experiences Prerequisite(s): PTA 205, PTA 206, PTA 207, PTA 208 Co-requisite(s): PTA.210 Requirement(s): Current (for the duration of the clinical education experience) First Aid Certificate and CPR for the Health Care Provider or AED/CPR for the Professional Rescuer, negative TB screening, current CDC vaccinations and seasonal influenza immunization. Instructor Contact Information: Instructor: [Instructor] Office Location: [Location] Office Hours: [Office Hours] Phone: [Phone] Required/Recommended Textbook(s) and materials Physical Therapist Assistant Clinical Performance Instrument (PTA CPI) (Web version). Additional materials in Moodle. Course Description The full time clinical education experience offers students opportunities to implement and develop entry level competence in treatment techniques which have been introduced in prior lecture and practiced in lab courses. The students are under direct supervision of a clinical instructor (physical therapist or physical therapist assistant) who facilitates learning. Students will be assigned to hospitals, out-patient clinics, nursing and rehabilitation centers, or home care settings for 14 weeks. Learning Outcomes Upon completion, the student will meet the following learning outcomes. Information in parentheses identifies the associated Commission on Accreditation in Physical Therapy Education (CAPTE) Standards and Required Elements. 1 PTA.240 Clinic II
For the FIRST CLINICAL EXPERIENCE, the student will achieve: 1. Entry Level rating on the PTA CPI for the following behaviors: 1.1. SAFETY - Performs in a safe and entry level manner that minimizes the risk to the patient, self, and others with all conditions in that practice setting. (7D1/7D19/7D21/7D27) 1.2. CLINICAL BEHAVIORS - Demonstrates expected competent clinical behaviors in a professional manner with all conditions in that practice setting. (7D4/7D5) 2. Advanced Intermediate rating on the PTA CPI for the following behaviors: 2.1. ACCOUNTABILITY - Performs in a competent manner consistent with established legal standards, standards of the profession, and ethical guidelines with simple conditions. (7D2/7D3/7D4/7D6/7D8) 2.2. CULTURAL COMPETENCE - Adapts delivery of physical therapy services with consideration for patients differences, values, preferences, and needs in simple situations with a proficient manner. (7D8) 2.3. COMMUNICATION - Communicates in ways that are congruent with situational needs independently with simple conditions. (7D7/7D8/7D12/7D15/7D17/7D20/7D22) 2.4. SELF-ASSESSMENT AND LIFELONG LEARNING - Participates in self-assessment and develops plans to improve knowledge, skills, and behaviors rated at advanced intermediate on the CPI. (7D11) 2.5. CLINICAL PROBLEM SOLVING - Demonstrates clinical problem solving requiring less than 25% supervision of CI with complex conditions. (7D9/7D11/7D17/7D18/7D19/7D20/7D21/7D26/7D27) 2.6. THERAPEUTIC EXERCISE - Performs selected therapeutic exercises in a competent and proficient manner with simple conditions. (7D19/7D23F/7D23H/7D24A/7D24B/7D24E/7D24H/7D24I/7D24K/7D24L) 3. Intermediate rating on the PTA CPI for the following behaviors: 3.1. THERAPEUTIC TECHNIQUES - Applies with simple conditions manual therapy, airway clearance, and integumentary repair and protection techniques in a competent manner with less than 50% of CI direct supervision. (7D19/7D23A/7D23E/7D23G/7D23I/7D24F/ 7D24G/7D24L/7D24N) 3.2. PHYSICAL AGENTS AND MECHANICAL MODALITIES - Applies physical agents and mechanical modalities in a consistent and proficient manner with simple conditions. (7D19/7D23C/7D24J) 3.3. ELECTROTHERAPEUTIC MODALITIES - Applies electrotherapeutic modalities in a competent manner with simple conditions. (7D19/7D23C) 3.4. FUNCTIONAL TRAINING AND APPLICATION OF DEVICES AND EQUIPMENT - Performs functional training in self-care and home management, and application and adjustment of devices and equipment with simple conditions in a competent manner with less than 50% direct supervision of CI. (7D19/7D23B/7D23D/7D24C/7D24D/7D24J/7D24L/7D24M/7D24N) 3.5. DOCUMENTATION - Produces consistent and proficient quality documentation in a timely manner to support the delivery of physical therapy services with simple conditions. (7D25/7D31) 3.6. RESOURCE MANAGEMENT - Engages in the efficient delivery of physical therapy services in a consistent and proficient manner with simple conditions. (7D28/7D29) 4. Accurately compose and submit weekly journal entries from the clinical experiences. 4.1. Summarize clearly the patient primary and secondary diagnoses of patients receiving interventions provided by the student physical therapist assistant (SPTA). 4.2. Report accurately on consultation provided for discharge planning activities. (7D20) 2 PTA.240 Clinic II
4.3. Compose the Weekly Planning Form outlining appropriate and pertinent goals to reach entry level CPI criterion and entry level communication with the clinical instructor (CI) and submit a copy of the form. (7D14) 4.4. Explain accurately any disagreements with, or discipline from, the CI, supervising physical therapist (PT), or management, and write a comprehensive plan for resolution. (7D7) 4.5. Summarize clearly the student s participation in patient-centered interprofessional meetings and plan for further development. (7D28) 4.6. Describe accurately aspects of organizational planning and operation of the physical therapy service the student has participated in. (7D30) 5. Perform duties in a manner consistent with the APTA s Values-Based Behaviors for the Physical Therapist Assistant scoring at frequently or above 80% of the time. (7D5) 6. Accurately prepare the Student Assessment of CE Experience and CI. 3 PTA.240 Clinic II
For the SECOND CLINICAL EXPERIENCE, the student will achieve: 7. Entry Level rating on the PTA CPI for the following behaviors: 7.1. SAFETY - Performs in a safe and entry level manner that minimizes the risk to the patient, self, and others in all interactions. (7D1/7D19/7D21/7D27) 7.2. CLINICAL BEHAVIORS - Demonstrates expected proficient and entry level clinical behaviors in a professional manner in all situations. (7D4/7D5) 7.3. ACCOUNTABILITY Performs consistently proficient in a manner consistent with established legal standards, standards of the profession, and ethical guidelines with all conditions. (7D2/7D3/7D4/7D6/7D8) 7.4. CULTURAL COMPETENCE - Adapts delivery of all physical therapy services competently with consideration for patients differences, values, preferences, and needs. (7D8) 7.5. COMMUNICATION - Communicates clearly and consistently proficient in ways that are congruent with all situational needs. (7D7/7D8/7D12/7D15/7D17/7D20/7D22) 7.6. SELF-ASSESSMENT AND LIFELONG LEARNING - Engages in self-assessment and develops plans to improve knowledge, skills, and behaviors to consistently proficient levels. (7D11) 7.7. CLINICAL PROBLEM SOLVING - Demonstrates consistently proficient clinical problem solving in all situations. (7D9/7D11/7D17/7D18/7D19/7D20/7D21/7D26) 7.8. THERAPEUTIC EXERCISE - Performs therapeutic exercises in a competent and entry level manner with all conditions. (7D19/7D23F/7D23H/7D24A/7D24B/7D24E/7D24H/7D24I/7D24K/7D24L) 7.9. THERAPEUTIC TECHNIQUES - Applies all manual therapy, airway clearance, and integumentary repair and protection techniques in a competent and entry level manner. (7D19/7D23A/7D23E/7D23G/7D23I/7D24F/7D24G/7D24L/7D24N) 7.10. PHYSICAL AGENTS AND MECHANICAL MODALITIES Engages in application of physical agents and mechanical modalities in a competent and entry level manner with all conditions. (7D19/7D23B/7D23C/7D24F/7D24J) 7.11. ELECTROTHERAPEUTIC MODALITIES - Applies all electrotherapeutic modalities in a competent and entry level manner with all conditions. (7D19/7D23C) 7.12. FUNCTIONAL TRAINING AND APPLICATION OF DEVICES AND EQUIPMENT Engages in functional training in self-care and home management, and application and adjustment of devices and equipment in a competent and entry level manner with all conditions. (7D19/7D23B/7D23D/7D24C/7D24D/7D24J/7D24L/7D24M/7D24N) 7.13. DOCUMENTATION - Produces competent and entry level quality documentation in a timely manner to support the delivery of physical therapy services with simple and complex conditions. (7D25/7D31) 7.14. RESOURCE MANAGEMENT Participates in consistently proficient efficient delivery of physical therapy services with all conditions. (7D28/7D29) 8. Utilize evidence based practice research a topic to enhance physical therapy services and present an in-service effectively on the topic to rehabilitation department staff. (7D9/7D11) 8.1. Use media proficiently to visually represent the research data. 8.2. Provide accurate learning materials for participants in the in-service presentation. 8.3. Adhere precisely to expected time limit. 8.4. Present appropriate background, practical applications, and expected outcomes. 8.5. Provide exact references for all data. 9. Accurately compose and submit weekly journal entries from the clinical experiences. 9.1. Summarize a descriptive list of patient primary and secondary diagnoses of patients receiving interventions provided by the student physical therapist assistant (SPTA). 4 PTA.240 Clinic II
9.2. Assess accurately the communication and consultation provided for discharge planning activities. (7D20) 9.3. Engage in creating the Weekly Planning Form outlining appropriate and pertinent goals to reach entry level CPI criterion with the clinical instructor (CI) and clearly assess progress towards goals each week. (7D14) 9.4. Assess clearly any disagreements with, or discipline from, the CI, supervising physical therapist (PT), or management and write a comprehensive plan for resolution. (7D7) 9.5. Describe accurately the student s participation in patient-centered interprofessional meetings and self-assess these interactions. (7D28) 9.6. Assess participation in organizational planning and operation of the physical therapy service. (7D30) 9.7. Use the ICF and clearly describe one patient s impairments, activity and participation limitations. (7D16) 9.7.1. Discuss concisely how the interventions are facilitating improvements in these limitations. (7D16) 10. Clearly compose the Student Assessment of CE Experience and CI. Academic Integrity Statement Students have an obligation to abide by accepted standards of academic honesty which dictate that all scholastic work shall be original in nature. As a point of academic integrity, students are required to submit original material of their own creation. Plagiarism of any material and cheating are serious offenses and can result in failure of the course or dismissal from the College. Academic Dishonesty No student shall: 1. Share or obtain exam questions or material not authorized by the instructor. 2. Complete exams or performance elements of a course for another student or have someone else complete it for them. Plagiarism Plagiarism is using another s ideas as one s own. Plagiarism has two forms, unintentional and intentional. Unintentional plagiarism is usually the result of students being unfamiliar with the academic conventions of citation and documentation. Intentional plagiarism is the result of students knowingly submitting the work of others as their own. This includes, but is not limited to: 1. Copying someone else s work. 2. Using exact quotations without proper citation. 3. Buying papers (e.g. on the internet). 4. Including paraphrased material without acknowledging its source. All acts of plagiarism and academic dishonesty will first be dealt with by the instructor. Penalties may range from revision to failing the assignment or the course. Instructors must report all acts of intentional dishonesty or plagiarism, or any penalty resulting in a failure of the course, to the Registrar. Repeated 5 PTA.240 Clinic II
violations may result in further discipline, up to and including dismissal. Students may appeal any grade affected by a charge of academic dishonesty or plagiarism through the Grade Grievance Procedure. ADA Statement State and federal laws prohibit discrimination against individuals with disabilities. Mid Michigan Community College s Office of Human Resources coordinates the College s compliance with these state and federal nondiscrimination laws, including the Federal Vocational Rehabilitation Act of 1973, the Federal Americans with Disabilities Act, and the amended Michigan Handicappers Civil Rights Act. The Office of Human Resources is also the grievance office designated to handle any complaints or concerns regarding the College, its programs, procedures or employees. If you believe that a violation or potential violation of these state or federal nondiscriminatory laws has occurred, is occurring, or will occur, please notify the Department of Human Resources, Mid Michigan Community College, 1375 S. Clare Avenue, Harrison, MI 48625; or by phone at (989) 386-6621. Support Services Refer to the Mid Michigan Community College Catalog or web site at www.midmich.edu for support services available for students. It is recommended that students take advantage of the resources available to assist them in being successful in their program of study. Student Responsibilities Students are bound by all policies of Mid Michigan Community College and should familiarize themselves with these through reading the catalog and student handbook. Students are expected to be adequately prepared for each class session. It is reasonable to expect at least two hours of outside study for every hour spent in the classroom. Students are expected to assist in maintaining a classroom environment that is conducive to learning. Therefore, free discussion, inquiry, and expression are encouraged. Behavior that interferes with the instructor s ability to conduct the class or the ability of students to benefit from that instruction is not acceptable. Scheduled Class Meeting Times The state of Michigan dictates minimal contact hour requirements that are rigidly upheld by the College. Some of that instructional time is used for tests. The college s expectation is that classes will meet for the entire assigned time. Attendance Students are expected to report to clinics prior to the first patient/client assignment and/or at the time required by their clinical instructor, and be present during regular working hours of the facility or during their CI s schedule except in special cases. These include significant illness, injury, emergency or other instances agreed upon by the student and CIs /CCCE or ACCE prior to the beginning of the clinical education experience and mutually accepted as a reasonable or necessary absence. 6 PTA.240 Clinic II
Absences or tardiness need to be reported prior to the beginning of the work day by the student in a phone call to the ACCE and CCCE or CI. The reason for the absence or tardiness should be reported to both the CCCE/CI and the ACCE. The Agency/Site and/or PTA Program may request a physician s report if the student is absent for two or more consecutive days because of illness. All absences and tardiness should be documented by the CI and identified as either excused or unexcused. Clinic make-up time will be scheduled for all absences as agreed upon by the CI. In the event the college is closed due to inclement weather, the student is to make an informed decision about their ability to attend clinic. All missed clinic time must be made up, including inclement weather. Physical Therapist Assistant Clinical Performance Instrument (PTA CPI) The Clinical Instructors (CIs) will complete the web-based PTA CPI midterm and final evaluation and the student must complete a self-evaluation using the PTA CPI prior to the mid-term and final evaluation of the clinical experience. The ACCE will review the PTA CPI completed by the CIs to determine a pass or fail grade. A failing grade in the PTA CPI will result in failure of the course. See the section on grading for more details. Clinical Grading Criteria Using the PTA CPI Grading Criteria to Pass the First Clinical Education Experience o Criteria #1 to #2 Student will achieve Entry Level performance. o Criteria #3 to #8 - Student will achieve Advanced Intermediate performance. o Criteria #9 to #14 - Student will achieve Intermediate performance. Students will achieve the CPI expectations as detailed in each clinical education syllabi unless one or more of the following occurs: 1. The student experienced a complex clinical site. 2. The student experienced unusual circumstances at a clinical site. 3. There is incongruence between the CI s narrative comments and the given rating. The student must pass the First Clinical Education Experience in PTA 240 to proceed to the Second Clinical Education Experience in PTA 240. Grading Criteria to Pass the Second Clinical Education Experience o Criteria #1 through #14 Student will achieve Entry Level performance, unless one or more of the following occurs: 1. The student experienced a complex clinical site. 2. The student experienced unusual circumstances at a clinical site. 3. There is incongruence between the CI s narrative comments and the given rating. Unsatisfactory Clinical Performance A. The following may result in dismissal from and/or unsatisfactory completion of Clinic I and/or II: 1. Repeated absences or tardiness with or without notification. 2. Unethical, illegal, and/or unprofessional conduct. 3. Conduct resulting in risk or possible harm to a patient. 4. Failure to meet course requirements and objectives. 7 PTA.240 Clinic II
B. As a result of one or more conditions found in A above, the following action may be taken as determined by the Dean of Health Sciences, PTA Program Director, ACCE and other PTA faculty members: 1. Additional clinic time in the same clinic to improve skills to meet course objectives and requirements. 2. Develop a remedial program which must be completed to the satisfaction of the academic faculty prior to a further clinical experience. 3. Require the student to repeat the entire Clinical Education Experience (Clinic I or II). 4. Receive a failing grade for that clinical education experience and dismissed immediately from the PTA Program. C. If remediation is required for the First Clinical Education Experience in PTA 240, a good faith attempt will be made to remediate and extend or find an additional clinical education experience placement for the First Clinical Education Experience in PTA 240. Once passing the First Clinical Education Experience in PTA 240, a good faith attempt would be made to re-schedule/push back the Second Clinical Education Experience in PTA 240. If this is unable to be accomplished, the student will be required to follow the Readmission Policy. D. If remediation is required for the Second Clinical Education Experience in PTA 240, a good faith attempt will be made to remediate and extend or find an additional clinical education experience to complete PTA 240. If this is unable to be accomplished, the student will be required to follow the Readmission Policy. Clinical Experience Expectations Students are expected to manage a full patient load with supervision by the end of the PTA 240 course. Students should plan with their CI a wide variety of patient experiences to complement their education, including observation of surgery, if available, and the student is willing. Students should be provided an opportunity, where available, to follow a patient receiving multiple discipline rehabilitation (OT, Speech, and Recreational Therapies) on a weekly basis to view the interaction of the disciplines with PT and the global progress of a rehabilitation patient. Additionally, students should be allowed opportunities for involvement in interprofessional practice including, but not limited to, case management meetings and discharge planning meetings. The student should be included as a member of the PT/PTA team and collaborate with both the CI and the evaluating PT in the treatment and progression of the patient s physical therapy interventions. Wherever possible, the student should be allowed to participate in community health programs or other initiatives offered through the clinical site. Student In-service Presentation The in-service must be given on the scheduled date. The Clinical Instructor will use the evaluation form to assess the presentation and will fax the form to the ACCE following the presentation. Weekly Journal and Weekly Planning Form Journal and Weekly Planning Form assignments must be completed per instructions in the template and rubric in the Moodle course shell, and uploaded to Moodle each Monday by midnight. An upload link is present in each week of the course shell. Journals are graded as pass/fail according to the rubric provided. 8 PTA.240 Clinic II
Values-Based Behaviors Self-Assessment Students will complete the APTA s Values-Based Behaviors for the Physical Therapist Assistant Self- Assessment Tool scoring at frequently or above 80% of the time. This will be uploaded to Moodle via a link in the course shell. This will be graded as pass/fail and will be due the seventh Monday of the first clinical education experience by midnight. Students will pass if they score at frequently or above 80% of the time. If they do not score at frequently or above 80% of the time, the student will need to meet with the instructor the Monday immediately following the first clinical education experience to develop a plan of action for the development of these skills. The Values-Based Behaviors Self-Assessment will need to be completed again and uploaded into Moodle by midnight on the seventh Monday of the second clinical education experience with the scoring at frequently or above 80% of the time to pass the course. Student Assessment of CE Experience and CI Students will complete the Student Assessment of CE Experience and CI form prior to each CE experience s final PTA CPI evaluation with the CI. The student will review the assessment with the CI during the final evaluations to provide feedback on their experience. Both the CI and the student must sign and date the form. The student will return the completed and signed form to the ACCE in order to pass the course. Grading Criteria: Assessments PTA Clinical Performance Instrument (CPI)(1 at each clinical site) In-service Presentation Weekly Journal/Planning Form (14 total) Values-Based Behaviors Self-Assessment Student Assessment of CE Experience and CI (1 at each clinical site Grading Expectations to Pass PTA 240: 1. Pass CPI at both clinical experiences 2. Pass in-service 3. Pass 11 of 14 Weekly Journal/Planning Forms 4. Pass Values-Based Behaviors Self-Assessment 5. Pass both Student Assessment of CE Experience and CI **If a student fails any method of evaluation listed above, they will fail PTA 240. Michigan Physical Therapy Association Student Conclave at Spring Conference Students are encouraged to attend if approved by the clinical instructor. Information may be located on the MPTA website: www.mpta.com. If the student chooses not to attend the MPTA Student Conclave, the student must attend clinic. Students who choose to attend the MPTA Student Conclave are not required to make up the clinical education day at their respective clinics if approved by the clinical instructor. FSBPT National Physical Therapy Exam Students may miss a clinical education day if approved by the clinical instructor to take the National Physical Therapy Exam (NPTE). If the student chooses to postpone taking the NPTE, the student must attend clinic. Students who choose to take the NPTE are not required to make up the clinical education day at their respective clinics if approved by the clinical instructor. 9 PTA.240 Clinic II